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Prescription Drug Detail
Brand Name
Brand Tier
Generic Name
Generic Tier
PROVIGIL
(Tier
3
)
modafinil
(Tier
1
)
Prior Authorization Required:
Yes
Quantity Limit:
No
Category:
Narcolepsy
Maintenance Drug:
No
Notes:
This medication requires Prior Authorization. Please have your physician call 1-800-314-2872 before prescribing this medication. Generic available 4-4-2012
Attachments:
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